SlideShare una empresa de Scribd logo
1 de 24
Descargar para leer sin conexión
1
Booklet for expecting mothers
Maternal Health Division
Ministry of Health & Family Welfare
Government of India
2
Printed with technical support from UNICEF/WHO
Illustrations by Mehul Mahicha Book Design by Lopez Design
3
Carry MCH card with you for all ANC/PNC/well baby visits
and to the place you go for delivery
My Name: 		 Age:
Husband’s Name: Phone No.:
Address:	
No. of living children: a) Male 	 b) Female 	
LMP: 	 EDD:
Blood Group:
Contact No. of:
• ANM:
• AWW:
• ASHA:
• Ambulance/Referral Transport:
JSY Registration No.:
BPL Beneficiary No.:
Phone No. of PHC:
Phone No. of FRU:
4
REGISTRATION
Register yourself at the nearest health facility as soon as pregnancy
is detected.
Four antenatal check ups are essential for a pregnant woman:
First ANC Check up
As soon as the period is missed or
within first three months of missing
the period.
Second ANC Check up In 4th
– 6th
month of pregnancy.
Third ANC Check up	 In 7th
– 8th
month of pregnancy.
Fourth ANC Check up In 9th
month of pregnancy.
Regular ANC visits protect you and your baby
from complications and ensures healthy mother and child
5
ANTENATAL CHECK-UP
Get your Hb, Blood pressure(BP), urine, weight and abdomen
checked at every visit. Ensure that you receive IFA tablets and
two doses of Inj. Tetanus Toxoid (TT). Always consult your MO
if necessary or referred.
Get urine tested for albumin and sugar. Get your weight checked. (Average
weight gain during pregnancy is 9 -11 kg).
Get your haemoglobin measured to
assess anaemia.
Haemoglobin estimation
helps in early detection and
treatment of anaemia
Detection of albumin and
sugar saves you and your
baby from serious conditions
6
ANTENATAL CHECK-UP
Get your blood pressure checked to detect high BP which can be dangerous for you
and your baby.
Abdominal examination is important to assess foetal growth.
Abdominal Check-up during ANC helps in assessing
foetal growth and its well- being
7
Tetanus toxoid injection
Get two doses of T.T. injection at one month interval.
Tetanus Toxoid Injection protects both mother and baby from
Tetanus which is one of the life threatening conditions
8
Iron Folic acid (IFA) tablets
During pregnancy 100 tablets of iron and folic acid will be given.
One tablet of IFA is to be taken daily starting from the fourth month
of pregnancy. If you are anaemic, you will be advised to take two IFA
tablets daily, one tablet in the morning and one in the evening.
Taking one IFA tablet a day keeps anaemia away in mothers
and ensures delivery of a healthy baby
9
DIET DURING PREGNANCY
•	 You need to eat one extra meal a day during pregnancy.
•	 Take milk and dairy products like curd, buttermilk,
paneer-these are rich in calcium, proteins and vitamins.
•	 Eat fresh/seasonal fruits and vegetables as these provide
vitamins and iron. Cereals, whole grains and pulses are
good sources of proteins.
•	 Green leafy vegetables are a rich source of iron and folic acid.
•	 A handful (45 grams) of nuts and at least two cups of daal
provide daily requirement of proteins in vegetarians.
•	 For non-vegetarians, meat, egg, chicken or fish are good sources
of proteins, vitamins and iron.
A well balanced diet consisting of a variety of food helps
in the growth of the baby and prevents anaemia
10
RICH SOURCES OF IMPORTANT NUTRIENTS
Prefer using variety of local seasonal foods, vegetables and fruits
being grown in and around your area
Iron Green leafy vegetables, whole
grains, cereals, dry fruits, nuts,
meat, jaggary.
Calcium Milk, milk products, sesame
seeds, almonds, soya milk,
turnip, egg.
Vitamins Orange and dark green
vegetables, citrus fruits, apple,
tomato, amla, vegetables, meat,
fish, eggs, sunlight, milk and
milk products, soya products.
Proteins Paneer, milk and other milk
products, combined grains,
seeds, nuts, egg, meat, poultry,
soya beans.
Fats Butter, ghee, oils, nuts.
11
CLEANLINESS
Wash your hands with soap and water
before every meal and after attending
toilet of self and baby.
Clip your nails regularly.
Personal hygiene prevents acquiring infection
and also from transmitting to the baby
12
REST DURING PREGNANCY
•	 Have 8 hours of sleep at night and at least 2 hours rest during the day.
•	 Lie on your left side as it increases the blood supply to the foetus.
•	 Avoid hard work such as lifting heavy weight.
•	 Do not overexert yourself and delegate few tasks to others.
Adequate rest gives you physical and mental relaxation
which is good both for you and the baby
13
FAMILY SUPPORT
•	 Family behaviour and
attitude should be
pleasant and
encouraging.
•	 Family should ensure
provision of healthy
diet and timely visits
to health facility.
•	 Avoid delay in contacting
medical facility when
labour starts or in case
of a complication.
•	 Adequate finance and
transport should be
arranged beforehand.
•	 A blood donor should
be identified for any
unforeseen emergencies.
Care and support by husband
and mother-in-law gives
emotional support and confidence
in child bearing
14
If any complications occur- seek help immediately
to preserve your health and life
DANGER SIGNALS DURING PREGNANCY
Generalised weakness, easy fatigability
and breathlessness.
Severe pain in abdomen.
Excessive swelling in legs.Bleeding per vaginum.
Fever.Convulsions.
15
DANGER SIGNALS DURING PREGNANCY & LABOR
Immediately contact ANM/MO in case of following:
Seek timely help from facility for proper management of
complications - it saves your life as well as the baby’s
Contact P H C
Burning micturition.
High grade fever or
any medical illness.
Vaginal bleeding in early
pregnancy.
Excessive nausea and vomiting.
Leaking per vaginum before
onset of labour.
High blood pressure detected
in ANC.
Fainting and/or pain in
abdomen.
Contact F R U
Vaginal bleeding in advanced
pregnancy.
Decreased or no foetal
movements.
Swelling all over body,
palpitations, shortness
of breath.
Swelling all over body
and/or blurring of vision.
High blood pressure
detected in ANC.
Fits.
Labour pains or leaking before
9 month of pregnancy.
Leaking for more than
12 hours without labour pains.
Foul smelling leaking with or
without fever.
Labour pains more than
12 hours.
Continuous abdominal pain.
16
•	 It is important to stay in health facility where you deliver for a minimum
of 48 hours as most complications in mother and baby occur then.
•	 You and your baby should be seen by a health worker on the day
of delivery, and on 3rd day, 7th day and 6 weeks after delivery.
•	 Baby should get vaccination for 0 dose Polio, Hepatitis B (if recom-
mended under routine immunisation) and BCG on the first day.
•	 You will also receive Counselling on cord care, Keeping the baby
warm, Respiratory infections, loose motion, Nutrition and family
planning during your stay.
•	 Take extra calories & fluids to fulfill requirements of breast feeding.
•	 Take adequate rest.
•	 Take immediate medical help if any complication occurs in yourself
or your baby.
Post delivery care ensures good health
and wellness for you and your baby
Postpartum Care
Contact P H C
Tear in perineum
Inability to pass urine
Burning in urination
Difficulty in breast feeding
Pain lower abdomen
Contact F R U
Excessive vaginal bleeding
Inability to control defecation/urine
Foul smelling vaginal discharge
Difficulty in breathing
Blurred vision and fits
Fever
Fainting
PROBLEMS AFTER DELIVERY
17
Following conditions in a baby needs contact with M. O. or ANM
1.	 Difficulty in breathing
2.	 Inability to suck
3.	 Inablity to pass urine and stools
4.	 Umbilical stump is red or has pus
5.	 More than 10 pustules over
body or one large boil
6.	 Jaundice
7.	 Fever
8.	 Diarrhoea
9.	 Dull and lethargic baby
10.	 Seizure
11.	 Eyes are red or infected
12.	 Any birth defects are seen
NEWBORN CARE
•	 Baby should be:
	 - 	Dried and wrapped immediately after birth.
	 - 	Properly covered according to weather
	 conditions and to be kept warm.
	 Head and feet should be kept covered.
	 - 	Given bath only after 48 hours.
	 - 	Passing stools at least once in first 24 hours
	 and urine at least once in first 48 hours.
•	 Burping should be done after every feed.
•	 Cord stump should be kept clean and dry.
Apply nothing on the cord stump.
Seek advice of your MO/ANM immediately if any complication
is seen - timely treatment saves life of baby
Choose to deliver in an institution - it provides timely help
for mother and baby if complications occur
Danger signals in New Born
18
BREASTFEEDING
•	 You should start breastfeeding
your new born at the earliest,
preferably within one hour
of delivery to develop proper
sucking.
•	 Breast milk of first day
(colostrum) is very useful
for the newborn because
it is nutritious and rich in
protective antibodies against
common infections like
measles.
•	 Exclusive breastfeeding should
be done for six months and no
prelacteal feeds (gripe water,
honey) should be given to the
baby during this time.
•	 Breastfeeding should be given
on demand.
•	 Exclusive breastfeeding
decreases the chances
of diarrhoea and upper
respiratory tract infections
in the newborn; it decreases
chances of pregnancy during
that period.
Give only breast feeds to your baby for six months
and protect baby from illnesses like diarrhoea and others
Mother’s milk is best for health and
growth of your baby
19
COMPLEMENTARY FEEDING
•	 Any food given to the baby in addition to breast milk is called
complementary foods.
•	 After the age of 6 months, breast milk is not enough for mental and
physical growth of the baby so complementary feeding is essential.
Timely introduction of a variety of energy rich complementary foods in
adequate amounts in addition to breastfeeding keeps the baby healthy
Type of Food Age (month) Frequency of serving
Mashed roti/rice/bread/biscuit mixed
in sweetened undiluted milk.
OR
Mashed roti/rice/bread mixed in thick dal
with added ghee/oil or khichri with added
oil/ghee. Add cooked vegetables (such as
potatoes, carrots, green leafy vegetables,
yellow pumpkins, etc) also in the servings.
OR
Sevian/dalia/halwa/kheer prepared in milk or
any cereal porridge cooked in milk.
OR
Mashed boiled/fried potatoes or give one
seasonal fruit (banana/ cheeko/ mango)
or meat, fish and egg.
6-12 months Give1 katori serving
3 times a day, if breastfed
and 5 times a day, if the
child is not breastfed.
12-24 months Give one & half katori
serving 5 times a day.
The variety in the diet
should be increased by
including the family foods
in the diet of the child.
Rice, dal, chapatti (cereals or millets),
yogurt, seasonal fruits (such as banana,
guava,mango etc.), vegetables (such as
potatoes, carrots,beans.
More than 24
months
3 times every day.
Add ladoo, biscuits, bread and other
nutritious food.
Two times a day in between
the meals.
It is important for you to understand that:
•	 Girls and boys need equal amount of food.
•	 Wash your own and child’s hands with soap and water every time
before feeding.
•	 Sit with the child at meal times.
•	 Give food in a separate bowl to make sure she/he gets enough food
and eats the correct amount.
20
Take your baby to the nearest health centre for immunisation.
At birth BCG, OPV - 0 dose, Hepatitis B - 0 dose*
6 weeks BCG (if not given at birth)	
DPT - 1st
dose
OPV - 1st
dose
Hepatitis B - 1st
dose*
10 weeks DPT - 2nd
dose
OPV - 2nd
dose
Hepatitis - 2nd
dose*
14 weeks DPT - 3rd
dose
OPV - 3rd
dose
Hepatitis - 3rd
dose*
9 months Measles, Vit-A - 1st
dose
16-24 months DPT booster, MR
OPV boosters Vit-A - 2nd
dose
2 to 5 years Vit-A - 3rd
to 9th
doses at the interval of 6 months.
(total of 7 doses)
5 years DPT booster
10 years T.T. booster
16 years T.T. booster
* If recommended under Routine Immunisation.
IMMUNISATION SCHEDULE FOR BABY
Follow immunisation schedules for protection of your babies
from life threatening and crippling diseases
21
FAMILY PLANNING ADVICE (Spacing methods)
A gap of two to five years is recommended between pregnancies for
restoration of your health and proper care of your baby. A number of
contraceptive methods are available for spacing pregnancies.
Intra Uterine Contraceptive Device (IUCD)
It is one time method and is effective
upto 10 years.
Lactational amenorrhea method (LAM)
protects from pregnancy for six months
if exclusive breast feeding Is done.
Oral Contraceptive Pills (OCPs)
OCPs can be started 6 months after
delivery; one pill is to be taken daily.
Start immediately if not breastfeeding.
DMPA
One Injection of DMPA is given every
three months It can be used during
breastfeeding.
Condom
Spacing method for males.
It protects from pregnancy and
sexually transmitted infections.
3 years spacing between
child bearing ensures
healthy mother and baby
22
FAMILY PLANNING ADVICE
(PERMANENT methods)
If your family is complete, you can opt for a permanent method of
contraception i.e. tubectomy or vasectomy.
Tubectomy (female sterilisation)
Tubectomy can be done immediately
after delivery or any time after six weeks
after delivery or between deliveries. Can
be minilap or laparoscopic method.
Vasectomy (male sterilisation)
Vasectomy can be done by a very
small incision. Vasectomy does not
cause any weakness, and does not
need long rest.
Small family - Happy family
Leaves more to eat, educate your children,
save for home, health and old age
23
Janani-Shishu Suraksha Karyakram
A national initiative
Entitlements in Government Health Institutions under this
initiative
For Pregnant Women:
n	 Free and cashless delivery
n	 Free caesarian section
n	 Free drugs and consumables
n	 Free diagnostics (Blood, Urine tests and Ultrasonography, etc.)
n	 Free diet during stay (up to 3 days for normal delivery and 7 days
for caesarian section)
n	 Free provision of blood
n	 Exemption from user charges
n	 Free transport from home to health institution, between health
institutions in case of referral and drop-back home
For Sick Newborn till 30 days after birth:
n	 Free treatment
n	 Free drugs and consumables
n	 Free diagnostics
n	 Free provision of blood
n	 Exemption from user charges
n	 Free transport from home to health institution, between health
institutions in case of referral and drop-back home
24

Más contenido relacionado

La actualidad más candente

Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)fredrick_Stephen
 
Minimum Need's Programme, Presented By Mohammed Haroon Rashid
Minimum Need's Programme, Presented By Mohammed Haroon Rashid Minimum Need's Programme, Presented By Mohammed Haroon Rashid
Minimum Need's Programme, Presented By Mohammed Haroon Rashid Haroon Rashid
 
Admission of neonate in nicu
Admission of neonate in nicuAdmission of neonate in nicu
Admission of neonate in nicujaskaranChauhan3
 
Antenatal & intra natal care
Antenatal & intra natal careAntenatal & intra natal care
Antenatal & intra natal caredrjagannath
 
Guidelines for antenatal care and skilled attendance at birth by ANMs/LHVs/SNs
Guidelines for antenatal care and skilled attendance at birth by ANMs/LHVs/SNsGuidelines for antenatal care and skilled attendance at birth by ANMs/LHVs/SNs
Guidelines for antenatal care and skilled attendance at birth by ANMs/LHVs/SNsAnil Mishra
 
Maternal and neonatal morbidity and mortality
Maternal and neonatal morbidity and mortalityMaternal and neonatal morbidity and mortality
Maternal and neonatal morbidity and mortalityDipsikhaAryal
 
Teaching and supervision of health team members
Teaching and supervision of health team membersTeaching and supervision of health team members
Teaching and supervision of health team membersKanchan Mehra
 
MLHP (Mid level health provider)
MLHP (Mid level health provider)MLHP (Mid level health provider)
MLHP (Mid level health provider)Shubham Dhamanikar
 
High risk pregnancy
High risk pregnancyHigh risk pregnancy
High risk pregnancysakshi rana
 
Family welfare services
Family welfare servicesFamily welfare services
Family welfare servicestusharkedar2
 
Sexually transmitted disease control programme
Sexually transmitted disease control programmeSexually transmitted disease control programme
Sexually transmitted disease control programmeMangalabarathi N
 
Utilize community resources for self and family
Utilize community resources for self and familyUtilize community resources for self and family
Utilize community resources for self and familyDEVA PON PUSHPAM I
 
Health Talk on ANC Diet vies in Lesson Plan Format use for OBG Assignment sub...
Health Talk on ANC Diet vies in Lesson Plan Format use for OBG Assignment sub...Health Talk on ANC Diet vies in Lesson Plan Format use for OBG Assignment sub...
Health Talk on ANC Diet vies in Lesson Plan Format use for OBG Assignment sub...sonal patel
 
Maintenance of health records for self and family
Maintenance of health records for self and familyMaintenance of health records for self and family
Maintenance of health records for self and familyDEVA PON PUSHPAM I
 
AMN on line (ANMOL) in health facility
AMN on line (ANMOL) in health facilityAMN on line (ANMOL) in health facility
AMN on line (ANMOL) in health facilityRishabh Nahar
 
MOTHER AND CHILD TRACKING SYSTEM-MCTS
MOTHER AND CHILD TRACKING SYSTEM-MCTSMOTHER AND CHILD TRACKING SYSTEM-MCTS
MOTHER AND CHILD TRACKING SYSTEM-MCTSAnu Radha
 

La actualidad más candente (20)

Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)
 
Subinvolution
SubinvolutionSubinvolution
Subinvolution
 
Minimum Need's Programme, Presented By Mohammed Haroon Rashid
Minimum Need's Programme, Presented By Mohammed Haroon Rashid Minimum Need's Programme, Presented By Mohammed Haroon Rashid
Minimum Need's Programme, Presented By Mohammed Haroon Rashid
 
Admission of neonate in nicu
Admission of neonate in nicuAdmission of neonate in nicu
Admission of neonate in nicu
 
Antenatal & intra natal care
Antenatal & intra natal careAntenatal & intra natal care
Antenatal & intra natal care
 
Guidelines for antenatal care and skilled attendance at birth by ANMs/LHVs/SNs
Guidelines for antenatal care and skilled attendance at birth by ANMs/LHVs/SNsGuidelines for antenatal care and skilled attendance at birth by ANMs/LHVs/SNs
Guidelines for antenatal care and skilled attendance at birth by ANMs/LHVs/SNs
 
Maternal and neonatal morbidity and mortality
Maternal and neonatal morbidity and mortalityMaternal and neonatal morbidity and mortality
Maternal and neonatal morbidity and mortality
 
Teaching and supervision of health team members
Teaching and supervision of health team membersTeaching and supervision of health team members
Teaching and supervision of health team members
 
MLHP (Mid level health provider)
MLHP (Mid level health provider)MLHP (Mid level health provider)
MLHP (Mid level health provider)
 
High risk pregnancy
High risk pregnancyHigh risk pregnancy
High risk pregnancy
 
Family welfare services
Family welfare servicesFamily welfare services
Family welfare services
 
Sexually transmitted disease control programme
Sexually transmitted disease control programmeSexually transmitted disease control programme
Sexually transmitted disease control programme
 
Utilize community resources for self and family
Utilize community resources for self and familyUtilize community resources for self and family
Utilize community resources for self and family
 
Shock in obstetrics
Shock in obstetricsShock in obstetrics
Shock in obstetrics
 
Health Talk on ANC Diet vies in Lesson Plan Format use for OBG Assignment sub...
Health Talk on ANC Diet vies in Lesson Plan Format use for OBG Assignment sub...Health Talk on ANC Diet vies in Lesson Plan Format use for OBG Assignment sub...
Health Talk on ANC Diet vies in Lesson Plan Format use for OBG Assignment sub...
 
Maintenance of health records for self and family
Maintenance of health records for self and familyMaintenance of health records for self and family
Maintenance of health records for self and family
 
AMN on line (ANMOL) in health facility
AMN on line (ANMOL) in health facilityAMN on line (ANMOL) in health facility
AMN on line (ANMOL) in health facility
 
MOTHER AND CHILD TRACKING SYSTEM-MCTS
MOTHER AND CHILD TRACKING SYSTEM-MCTSMOTHER AND CHILD TRACKING SYSTEM-MCTS
MOTHER AND CHILD TRACKING SYSTEM-MCTS
 
Waste management
Waste managementWaste management
Waste management
 
Female pelvis
Female pelvisFemale pelvis
Female pelvis
 

Destacado

5. sesi safe motherhood
5. sesi safe motherhood5. sesi safe motherhood
5. sesi safe motherhoodAgus Candra
 
National Safe Motherhood day day 2014 kurnool
National Safe Motherhood day day 2014 kurnoolNational Safe Motherhood day day 2014 kurnool
National Safe Motherhood day day 2014 kurnooldichmu
 
Global strategies to improve maternal health
Global strategies to improve maternal health Global strategies to improve maternal health
Global strategies to improve maternal health Dr. Tulsi Ram Bhandari
 
Reproductive health, safemotherhood & family planning
Reproductive health, safemotherhood & family planningReproductive health, safemotherhood & family planning
Reproductive health, safemotherhood & family planningAmal Osman
 
Safe Motherhood Program
Safe Motherhood Program Safe Motherhood Program
Safe Motherhood Program Roxana Radu
 
Maternal and child health care services
Maternal and child health care servicesMaternal and child health care services
Maternal and child health care servicesKailash Nagar
 
Situation survey Syrian non camp refugees Sanliurfa 2103
Situation survey Syrian non camp refugees Sanliurfa 2103Situation survey Syrian non camp refugees Sanliurfa 2103
Situation survey Syrian non camp refugees Sanliurfa 2103zeynepturkmen
 
Quality maternal health care services
Quality maternal health care servicesQuality maternal health care services
Quality maternal health care servicesThurein Naywinaung
 
Biodiversity,Bio-terrorism, Human Rights in GMOs, The Impact of Reproductive ...
Biodiversity,Bio-terrorism, Human Rights in GMOs, The Impact of Reproductive ...Biodiversity,Bio-terrorism, Human Rights in GMOs, The Impact of Reproductive ...
Biodiversity,Bio-terrorism, Human Rights in GMOs, The Impact of Reproductive ...Mustafa A. El Hossieny
 
Reproductive health abd family planning
Reproductive health abd family planningReproductive health abd family planning
Reproductive health abd family planningrdlj
 
RHFP 1
RHFP 1RHFP 1
RHFP 1rdlj
 
Foods to Eat in White Discharge in Hindi Iवाइट डिस्चार्ज में क्या खाएI
Foods to Eat in White Discharge in Hindi Iवाइट डिस्चार्ज में क्या खाएIFoods to Eat in White Discharge in Hindi Iवाइट डिस्चार्ज में क्या खाएI
Foods to Eat in White Discharge in Hindi Iवाइट डिस्चार्ज में क्या खाएIHerbal Daily
 

Destacado (20)

Safe motherhood
Safe motherhoodSafe motherhood
Safe motherhood
 
Safe motherhood
Safe motherhood Safe motherhood
Safe motherhood
 
Safemotherhood 130212085105-phpapp01
Safemotherhood 130212085105-phpapp01Safemotherhood 130212085105-phpapp01
Safemotherhood 130212085105-phpapp01
 
5. sesi safe motherhood
5. sesi safe motherhood5. sesi safe motherhood
5. sesi safe motherhood
 
Safemotherhood
SafemotherhoodSafemotherhood
Safemotherhood
 
National Safe Motherhood day day 2014 kurnool
National Safe Motherhood day day 2014 kurnoolNational Safe Motherhood day day 2014 kurnool
National Safe Motherhood day day 2014 kurnool
 
Global strategies to improve maternal health
Global strategies to improve maternal health Global strategies to improve maternal health
Global strategies to improve maternal health
 
Reproductive health, safemotherhood & family planning
Reproductive health, safemotherhood & family planningReproductive health, safemotherhood & family planning
Reproductive health, safemotherhood & family planning
 
Safe Motherhood Program
Safe Motherhood Program Safe Motherhood Program
Safe Motherhood Program
 
Maternal and child health care services
Maternal and child health care servicesMaternal and child health care services
Maternal and child health care services
 
Motherhood method 12 9-13
Motherhood method 12 9-13Motherhood method 12 9-13
Motherhood method 12 9-13
 
Situation survey Syrian non camp refugees Sanliurfa 2103
Situation survey Syrian non camp refugees Sanliurfa 2103Situation survey Syrian non camp refugees Sanliurfa 2103
Situation survey Syrian non camp refugees Sanliurfa 2103
 
Quality maternal health care services
Quality maternal health care servicesQuality maternal health care services
Quality maternal health care services
 
Biodiversity,Bio-terrorism, Human Rights in GMOs, The Impact of Reproductive ...
Biodiversity,Bio-terrorism, Human Rights in GMOs, The Impact of Reproductive ...Biodiversity,Bio-terrorism, Human Rights in GMOs, The Impact of Reproductive ...
Biodiversity,Bio-terrorism, Human Rights in GMOs, The Impact of Reproductive ...
 
Reproductive health abd family planning
Reproductive health abd family planningReproductive health abd family planning
Reproductive health abd family planning
 
RHFP 1
RHFP 1RHFP 1
RHFP 1
 
Foods to Eat in White Discharge in Hindi Iवाइट डिस्चार्ज में क्या खाएI
Foods to Eat in White Discharge in Hindi Iवाइट डिस्चार्ज में क्या खाएIFoods to Eat in White Discharge in Hindi Iवाइट डिस्चार्ज में क्या खाएI
Foods to Eat in White Discharge in Hindi Iवाइट डिस्चार्ज में क्या खाएI
 
Reproductive Health of Refugees: Progress and Challenges
Reproductive Health of Refugees: Progress and ChallengesReproductive Health of Refugees: Progress and Challenges
Reproductive Health of Refugees: Progress and Challenges
 
SBA
SBASBA
SBA
 
Overview of reproductive health, women sexual and rights
Overview of reproductive health, women sexual and  rightsOverview of reproductive health, women sexual and  rights
Overview of reproductive health, women sexual and rights
 

Similar a My safe motherhood_booklet_english

Health Education on Antenatal care
 Health Education on Antenatal care Health Education on Antenatal care
Health Education on Antenatal careELIZEBETH RANI V
 
breast-feeding-techniques-and-positions-pediatric-nursing_compress.pdf
breast-feeding-techniques-and-positions-pediatric-nursing_compress.pdfbreast-feeding-techniques-and-positions-pediatric-nursing_compress.pdf
breast-feeding-techniques-and-positions-pediatric-nursing_compress.pdfRishabhtrivedi22
 
lactation-171001092222.pdf
lactation-171001092222.pdflactation-171001092222.pdf
lactation-171001092222.pdfAnithaAldur
 
breast-feeding-techniques-and-positions.pptx
breast-feeding-techniques-and-positions.pptxbreast-feeding-techniques-and-positions.pptx
breast-feeding-techniques-and-positions.pptxAnju Kumawat
 
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909(1)...
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909(1)...breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909(1)...
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909(1)...ayansamosisa
 
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909.pdf
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909.pdfbreast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909.pdf
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909.pdfayansamosisa
 
Every pregnancy
Every pregnancyEvery pregnancy
Every pregnancyReynel Dan
 
breast feeding final.pptx
breast feeding  final.pptxbreast feeding  final.pptx
breast feeding final.pptxSachinDwivedi57
 
Breast feeding
Breast feedingBreast feeding
Breast feedingNikita Dev
 
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdflesterlistanco3
 
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)Carlo Luna
 
Breastfeeding friendly general practitioner
Breastfeeding friendly general practitionerBreastfeeding friendly general practitioner
Breastfeeding friendly general practitionerVarsha Shah
 
The Nest - Guide to Breastfeeding
The Nest - Guide to BreastfeedingThe Nest - Guide to Breastfeeding
The Nest - Guide to BreastfeedingFortisTheNest
 
14) Breast feeding (1).pdf
14) Breast feeding (1).pdf14) Breast feeding (1).pdf
14) Breast feeding (1).pdfsangam neupane
 

Similar a My safe motherhood_booklet_english (20)

Health Education on Antenatal care
 Health Education on Antenatal care Health Education on Antenatal care
Health Education on Antenatal care
 
breast-feeding-techniques-and-positions-pediatric-nursing_compress.pdf
breast-feeding-techniques-and-positions-pediatric-nursing_compress.pdfbreast-feeding-techniques-and-positions-pediatric-nursing_compress.pdf
breast-feeding-techniques-and-positions-pediatric-nursing_compress.pdf
 
Lactation
LactationLactation
Lactation
 
lactation-171001092222.pdf
lactation-171001092222.pdflactation-171001092222.pdf
lactation-171001092222.pdf
 
breast-feeding-techniques-and-positions.pptx
breast-feeding-techniques-and-positions.pptxbreast-feeding-techniques-and-positions.pptx
breast-feeding-techniques-and-positions.pptx
 
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909(1)...
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909(1)...breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909(1)...
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909(1)...
 
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909.pdf
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909.pdfbreast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909.pdf
breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909.pdf
 
Breast feeding-techniques-and-positions-pediatric-nursing-ppt
Breast feeding-techniques-and-positions-pediatric-nursing-pptBreast feeding-techniques-and-positions-pediatric-nursing-ppt
Breast feeding-techniques-and-positions-pediatric-nursing-ppt
 
Infant Feeding Practices
Infant Feeding PracticesInfant Feeding Practices
Infant Feeding Practices
 
Every pregnancy
Every pregnancyEvery pregnancy
Every pregnancy
 
breast feeding final.pptx
breast feeding  final.pptxbreast feeding  final.pptx
breast feeding final.pptx
 
Breast feeding
Breast feedingBreast feeding
Breast feeding
 
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf
 
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)
 
Iycf sithun ppt
Iycf sithun pptIycf sithun ppt
Iycf sithun ppt
 
Breast feedding tep
Breast feedding tepBreast feedding tep
Breast feedding tep
 
Breastfeeding friendly general practitioner
Breastfeeding friendly general practitionerBreastfeeding friendly general practitioner
Breastfeeding friendly general practitioner
 
The Nest - Guide to Breastfeeding
The Nest - Guide to BreastfeedingThe Nest - Guide to Breastfeeding
The Nest - Guide to Breastfeeding
 
Child nutrition
Child nutritionChild nutrition
Child nutrition
 
14) Breast feeding (1).pdf
14) Breast feeding (1).pdf14) Breast feeding (1).pdf
14) Breast feeding (1).pdf
 

Más de dpmo123

Measles Rubella FAQ book Telugu
Measles Rubella FAQ  book  TeluguMeasles Rubella FAQ  book  Telugu
Measles Rubella FAQ book Telugudpmo123
 
FAQs on Measles Rubella vaccination campaign including routine immunization
FAQs on Measles Rubella vaccination campaign  including routine immunizationFAQs on Measles Rubella vaccination campaign  including routine immunization
FAQs on Measles Rubella vaccination campaign including routine immunizationdpmo123
 
Measles rubella handbook for frontline workers
Measles rubella handbook for frontline workersMeasles rubella handbook for frontline workers
Measles rubella handbook for frontline workersdpmo123
 
Measles - Rubella vaccine_Operational guidelines
Measles - Rubella vaccine_Operational guidelinesMeasles - Rubella vaccine_Operational guidelines
Measles - Rubella vaccine_Operational guidelinesdpmo123
 
Change Management=in TELUGU
Change Management=in TELUGUChange Management=in TELUGU
Change Management=in TELUGUdpmo123
 
A failure of imagination
A failure of imaginationA failure of imagination
A failure of imaginationdpmo123
 
National framework malaria elimination india 2016 2030
National framework malaria elimination india 2016 2030National framework malaria elimination india 2016 2030
National framework malaria elimination india 2016 2030dpmo123
 
Notes on sensitization workshop on recent initiatives.
Notes on sensitization workshop on recent initiatives.Notes on sensitization workshop on recent initiatives.
Notes on sensitization workshop on recent initiatives.dpmo123
 
Immunization Officer Presentation
Immunization Officer PresentationImmunization Officer Presentation
Immunization Officer Presentationdpmo123
 
Model district health project final
Model district health project finalModel district health project final
Model district health project finaldpmo123
 
Guidance for ippi 2016
Guidance for ippi 2016Guidance for ippi 2016
Guidance for ippi 2016dpmo123
 
intensified pulse polio immunization 2016
intensified pulse polio immunization 2016intensified pulse polio immunization 2016
intensified pulse polio immunization 2016dpmo123
 
anantapur newborn action plan
 anantapur newborn action plan anantapur newborn action plan
anantapur newborn action plandpmo123
 
Common Review Mission
Common Review MissionCommon Review Mission
Common Review Missiondpmo123
 
A failure of imagination
A failure of imaginationA failure of imagination
A failure of imaginationdpmo123
 
National iron plus_initiative_guidelines_for_control_of_ida
National iron plus_initiative_guidelines_for_control_of_idaNational iron plus_initiative_guidelines_for_control_of_ida
National iron plus_initiative_guidelines_for_control_of_idadpmo123
 
Operational guidelines nphce_final
Operational guidelines nphce_finalOperational guidelines nphce_final
Operational guidelines nphce_finaldpmo123
 
NRHM framework-latest
NRHM framework-latestNRHM framework-latest
NRHM framework-latestdpmo123
 
Nhm framework for_implementation
Nhm framework for_implementationNhm framework for_implementation
Nhm framework for_implementationdpmo123
 
Champfrogs Model
Champfrogs ModelChampfrogs Model
Champfrogs Modeldpmo123
 

Más de dpmo123 (20)

Measles Rubella FAQ book Telugu
Measles Rubella FAQ  book  TeluguMeasles Rubella FAQ  book  Telugu
Measles Rubella FAQ book Telugu
 
FAQs on Measles Rubella vaccination campaign including routine immunization
FAQs on Measles Rubella vaccination campaign  including routine immunizationFAQs on Measles Rubella vaccination campaign  including routine immunization
FAQs on Measles Rubella vaccination campaign including routine immunization
 
Measles rubella handbook for frontline workers
Measles rubella handbook for frontline workersMeasles rubella handbook for frontline workers
Measles rubella handbook for frontline workers
 
Measles - Rubella vaccine_Operational guidelines
Measles - Rubella vaccine_Operational guidelinesMeasles - Rubella vaccine_Operational guidelines
Measles - Rubella vaccine_Operational guidelines
 
Change Management=in TELUGU
Change Management=in TELUGUChange Management=in TELUGU
Change Management=in TELUGU
 
A failure of imagination
A failure of imaginationA failure of imagination
A failure of imagination
 
National framework malaria elimination india 2016 2030
National framework malaria elimination india 2016 2030National framework malaria elimination india 2016 2030
National framework malaria elimination india 2016 2030
 
Notes on sensitization workshop on recent initiatives.
Notes on sensitization workshop on recent initiatives.Notes on sensitization workshop on recent initiatives.
Notes on sensitization workshop on recent initiatives.
 
Immunization Officer Presentation
Immunization Officer PresentationImmunization Officer Presentation
Immunization Officer Presentation
 
Model district health project final
Model district health project finalModel district health project final
Model district health project final
 
Guidance for ippi 2016
Guidance for ippi 2016Guidance for ippi 2016
Guidance for ippi 2016
 
intensified pulse polio immunization 2016
intensified pulse polio immunization 2016intensified pulse polio immunization 2016
intensified pulse polio immunization 2016
 
anantapur newborn action plan
 anantapur newborn action plan anantapur newborn action plan
anantapur newborn action plan
 
Common Review Mission
Common Review MissionCommon Review Mission
Common Review Mission
 
A failure of imagination
A failure of imaginationA failure of imagination
A failure of imagination
 
National iron plus_initiative_guidelines_for_control_of_ida
National iron plus_initiative_guidelines_for_control_of_idaNational iron plus_initiative_guidelines_for_control_of_ida
National iron plus_initiative_guidelines_for_control_of_ida
 
Operational guidelines nphce_final
Operational guidelines nphce_finalOperational guidelines nphce_final
Operational guidelines nphce_final
 
NRHM framework-latest
NRHM framework-latestNRHM framework-latest
NRHM framework-latest
 
Nhm framework for_implementation
Nhm framework for_implementationNhm framework for_implementation
Nhm framework for_implementation
 
Champfrogs Model
Champfrogs ModelChampfrogs Model
Champfrogs Model
 

Último

"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
Physiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisPhysiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisNilofarRasheed1
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
General_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingGeneral_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingAnonymous
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisSujoy Dasgupta
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)Mohamed Rizk Khodair
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentsaileshpanda05
 
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...bkling
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
Pregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfPregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfMedicoseAcademics
 

Último (20)

"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
Physiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisPhysiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid Arthritis
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
General_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingGeneral_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_Wellbeing
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosis
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing student
 
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Pregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfPregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdf
 

My safe motherhood_booklet_english

  • 1. 1 Booklet for expecting mothers Maternal Health Division Ministry of Health & Family Welfare Government of India
  • 2. 2 Printed with technical support from UNICEF/WHO Illustrations by Mehul Mahicha Book Design by Lopez Design
  • 3. 3 Carry MCH card with you for all ANC/PNC/well baby visits and to the place you go for delivery My Name: Age: Husband’s Name: Phone No.: Address: No. of living children: a) Male b) Female LMP: EDD: Blood Group: Contact No. of: • ANM: • AWW: • ASHA: • Ambulance/Referral Transport: JSY Registration No.: BPL Beneficiary No.: Phone No. of PHC: Phone No. of FRU:
  • 4. 4 REGISTRATION Register yourself at the nearest health facility as soon as pregnancy is detected. Four antenatal check ups are essential for a pregnant woman: First ANC Check up As soon as the period is missed or within first three months of missing the period. Second ANC Check up In 4th – 6th month of pregnancy. Third ANC Check up In 7th – 8th month of pregnancy. Fourth ANC Check up In 9th month of pregnancy. Regular ANC visits protect you and your baby from complications and ensures healthy mother and child
  • 5. 5 ANTENATAL CHECK-UP Get your Hb, Blood pressure(BP), urine, weight and abdomen checked at every visit. Ensure that you receive IFA tablets and two doses of Inj. Tetanus Toxoid (TT). Always consult your MO if necessary or referred. Get urine tested for albumin and sugar. Get your weight checked. (Average weight gain during pregnancy is 9 -11 kg). Get your haemoglobin measured to assess anaemia. Haemoglobin estimation helps in early detection and treatment of anaemia Detection of albumin and sugar saves you and your baby from serious conditions
  • 6. 6 ANTENATAL CHECK-UP Get your blood pressure checked to detect high BP which can be dangerous for you and your baby. Abdominal examination is important to assess foetal growth. Abdominal Check-up during ANC helps in assessing foetal growth and its well- being
  • 7. 7 Tetanus toxoid injection Get two doses of T.T. injection at one month interval. Tetanus Toxoid Injection protects both mother and baby from Tetanus which is one of the life threatening conditions
  • 8. 8 Iron Folic acid (IFA) tablets During pregnancy 100 tablets of iron and folic acid will be given. One tablet of IFA is to be taken daily starting from the fourth month of pregnancy. If you are anaemic, you will be advised to take two IFA tablets daily, one tablet in the morning and one in the evening. Taking one IFA tablet a day keeps anaemia away in mothers and ensures delivery of a healthy baby
  • 9. 9 DIET DURING PREGNANCY • You need to eat one extra meal a day during pregnancy. • Take milk and dairy products like curd, buttermilk, paneer-these are rich in calcium, proteins and vitamins. • Eat fresh/seasonal fruits and vegetables as these provide vitamins and iron. Cereals, whole grains and pulses are good sources of proteins. • Green leafy vegetables are a rich source of iron and folic acid. • A handful (45 grams) of nuts and at least two cups of daal provide daily requirement of proteins in vegetarians. • For non-vegetarians, meat, egg, chicken or fish are good sources of proteins, vitamins and iron. A well balanced diet consisting of a variety of food helps in the growth of the baby and prevents anaemia
  • 10. 10 RICH SOURCES OF IMPORTANT NUTRIENTS Prefer using variety of local seasonal foods, vegetables and fruits being grown in and around your area Iron Green leafy vegetables, whole grains, cereals, dry fruits, nuts, meat, jaggary. Calcium Milk, milk products, sesame seeds, almonds, soya milk, turnip, egg. Vitamins Orange and dark green vegetables, citrus fruits, apple, tomato, amla, vegetables, meat, fish, eggs, sunlight, milk and milk products, soya products. Proteins Paneer, milk and other milk products, combined grains, seeds, nuts, egg, meat, poultry, soya beans. Fats Butter, ghee, oils, nuts.
  • 11. 11 CLEANLINESS Wash your hands with soap and water before every meal and after attending toilet of self and baby. Clip your nails regularly. Personal hygiene prevents acquiring infection and also from transmitting to the baby
  • 12. 12 REST DURING PREGNANCY • Have 8 hours of sleep at night and at least 2 hours rest during the day. • Lie on your left side as it increases the blood supply to the foetus. • Avoid hard work such as lifting heavy weight. • Do not overexert yourself and delegate few tasks to others. Adequate rest gives you physical and mental relaxation which is good both for you and the baby
  • 13. 13 FAMILY SUPPORT • Family behaviour and attitude should be pleasant and encouraging. • Family should ensure provision of healthy diet and timely visits to health facility. • Avoid delay in contacting medical facility when labour starts or in case of a complication. • Adequate finance and transport should be arranged beforehand. • A blood donor should be identified for any unforeseen emergencies. Care and support by husband and mother-in-law gives emotional support and confidence in child bearing
  • 14. 14 If any complications occur- seek help immediately to preserve your health and life DANGER SIGNALS DURING PREGNANCY Generalised weakness, easy fatigability and breathlessness. Severe pain in abdomen. Excessive swelling in legs.Bleeding per vaginum. Fever.Convulsions.
  • 15. 15 DANGER SIGNALS DURING PREGNANCY & LABOR Immediately contact ANM/MO in case of following: Seek timely help from facility for proper management of complications - it saves your life as well as the baby’s Contact P H C Burning micturition. High grade fever or any medical illness. Vaginal bleeding in early pregnancy. Excessive nausea and vomiting. Leaking per vaginum before onset of labour. High blood pressure detected in ANC. Fainting and/or pain in abdomen. Contact F R U Vaginal bleeding in advanced pregnancy. Decreased or no foetal movements. Swelling all over body, palpitations, shortness of breath. Swelling all over body and/or blurring of vision. High blood pressure detected in ANC. Fits. Labour pains or leaking before 9 month of pregnancy. Leaking for more than 12 hours without labour pains. Foul smelling leaking with or without fever. Labour pains more than 12 hours. Continuous abdominal pain.
  • 16. 16 • It is important to stay in health facility where you deliver for a minimum of 48 hours as most complications in mother and baby occur then. • You and your baby should be seen by a health worker on the day of delivery, and on 3rd day, 7th day and 6 weeks after delivery. • Baby should get vaccination for 0 dose Polio, Hepatitis B (if recom- mended under routine immunisation) and BCG on the first day. • You will also receive Counselling on cord care, Keeping the baby warm, Respiratory infections, loose motion, Nutrition and family planning during your stay. • Take extra calories & fluids to fulfill requirements of breast feeding. • Take adequate rest. • Take immediate medical help if any complication occurs in yourself or your baby. Post delivery care ensures good health and wellness for you and your baby Postpartum Care Contact P H C Tear in perineum Inability to pass urine Burning in urination Difficulty in breast feeding Pain lower abdomen Contact F R U Excessive vaginal bleeding Inability to control defecation/urine Foul smelling vaginal discharge Difficulty in breathing Blurred vision and fits Fever Fainting PROBLEMS AFTER DELIVERY
  • 17. 17 Following conditions in a baby needs contact with M. O. or ANM 1. Difficulty in breathing 2. Inability to suck 3. Inablity to pass urine and stools 4. Umbilical stump is red or has pus 5. More than 10 pustules over body or one large boil 6. Jaundice 7. Fever 8. Diarrhoea 9. Dull and lethargic baby 10. Seizure 11. Eyes are red or infected 12. Any birth defects are seen NEWBORN CARE • Baby should be: - Dried and wrapped immediately after birth. - Properly covered according to weather conditions and to be kept warm. Head and feet should be kept covered. - Given bath only after 48 hours. - Passing stools at least once in first 24 hours and urine at least once in first 48 hours. • Burping should be done after every feed. • Cord stump should be kept clean and dry. Apply nothing on the cord stump. Seek advice of your MO/ANM immediately if any complication is seen - timely treatment saves life of baby Choose to deliver in an institution - it provides timely help for mother and baby if complications occur Danger signals in New Born
  • 18. 18 BREASTFEEDING • You should start breastfeeding your new born at the earliest, preferably within one hour of delivery to develop proper sucking. • Breast milk of first day (colostrum) is very useful for the newborn because it is nutritious and rich in protective antibodies against common infections like measles. • Exclusive breastfeeding should be done for six months and no prelacteal feeds (gripe water, honey) should be given to the baby during this time. • Breastfeeding should be given on demand. • Exclusive breastfeeding decreases the chances of diarrhoea and upper respiratory tract infections in the newborn; it decreases chances of pregnancy during that period. Give only breast feeds to your baby for six months and protect baby from illnesses like diarrhoea and others Mother’s milk is best for health and growth of your baby
  • 19. 19 COMPLEMENTARY FEEDING • Any food given to the baby in addition to breast milk is called complementary foods. • After the age of 6 months, breast milk is not enough for mental and physical growth of the baby so complementary feeding is essential. Timely introduction of a variety of energy rich complementary foods in adequate amounts in addition to breastfeeding keeps the baby healthy Type of Food Age (month) Frequency of serving Mashed roti/rice/bread/biscuit mixed in sweetened undiluted milk. OR Mashed roti/rice/bread mixed in thick dal with added ghee/oil or khichri with added oil/ghee. Add cooked vegetables (such as potatoes, carrots, green leafy vegetables, yellow pumpkins, etc) also in the servings. OR Sevian/dalia/halwa/kheer prepared in milk or any cereal porridge cooked in milk. OR Mashed boiled/fried potatoes or give one seasonal fruit (banana/ cheeko/ mango) or meat, fish and egg. 6-12 months Give1 katori serving 3 times a day, if breastfed and 5 times a day, if the child is not breastfed. 12-24 months Give one & half katori serving 5 times a day. The variety in the diet should be increased by including the family foods in the diet of the child. Rice, dal, chapatti (cereals or millets), yogurt, seasonal fruits (such as banana, guava,mango etc.), vegetables (such as potatoes, carrots,beans. More than 24 months 3 times every day. Add ladoo, biscuits, bread and other nutritious food. Two times a day in between the meals. It is important for you to understand that: • Girls and boys need equal amount of food. • Wash your own and child’s hands with soap and water every time before feeding. • Sit with the child at meal times. • Give food in a separate bowl to make sure she/he gets enough food and eats the correct amount.
  • 20. 20 Take your baby to the nearest health centre for immunisation. At birth BCG, OPV - 0 dose, Hepatitis B - 0 dose* 6 weeks BCG (if not given at birth) DPT - 1st dose OPV - 1st dose Hepatitis B - 1st dose* 10 weeks DPT - 2nd dose OPV - 2nd dose Hepatitis - 2nd dose* 14 weeks DPT - 3rd dose OPV - 3rd dose Hepatitis - 3rd dose* 9 months Measles, Vit-A - 1st dose 16-24 months DPT booster, MR OPV boosters Vit-A - 2nd dose 2 to 5 years Vit-A - 3rd to 9th doses at the interval of 6 months. (total of 7 doses) 5 years DPT booster 10 years T.T. booster 16 years T.T. booster * If recommended under Routine Immunisation. IMMUNISATION SCHEDULE FOR BABY Follow immunisation schedules for protection of your babies from life threatening and crippling diseases
  • 21. 21 FAMILY PLANNING ADVICE (Spacing methods) A gap of two to five years is recommended between pregnancies for restoration of your health and proper care of your baby. A number of contraceptive methods are available for spacing pregnancies. Intra Uterine Contraceptive Device (IUCD) It is one time method and is effective upto 10 years. Lactational amenorrhea method (LAM) protects from pregnancy for six months if exclusive breast feeding Is done. Oral Contraceptive Pills (OCPs) OCPs can be started 6 months after delivery; one pill is to be taken daily. Start immediately if not breastfeeding. DMPA One Injection of DMPA is given every three months It can be used during breastfeeding. Condom Spacing method for males. It protects from pregnancy and sexually transmitted infections. 3 years spacing between child bearing ensures healthy mother and baby
  • 22. 22 FAMILY PLANNING ADVICE (PERMANENT methods) If your family is complete, you can opt for a permanent method of contraception i.e. tubectomy or vasectomy. Tubectomy (female sterilisation) Tubectomy can be done immediately after delivery or any time after six weeks after delivery or between deliveries. Can be minilap or laparoscopic method. Vasectomy (male sterilisation) Vasectomy can be done by a very small incision. Vasectomy does not cause any weakness, and does not need long rest. Small family - Happy family Leaves more to eat, educate your children, save for home, health and old age
  • 23. 23 Janani-Shishu Suraksha Karyakram A national initiative Entitlements in Government Health Institutions under this initiative For Pregnant Women: n Free and cashless delivery n Free caesarian section n Free drugs and consumables n Free diagnostics (Blood, Urine tests and Ultrasonography, etc.) n Free diet during stay (up to 3 days for normal delivery and 7 days for caesarian section) n Free provision of blood n Exemption from user charges n Free transport from home to health institution, between health institutions in case of referral and drop-back home For Sick Newborn till 30 days after birth: n Free treatment n Free drugs and consumables n Free diagnostics n Free provision of blood n Exemption from user charges n Free transport from home to health institution, between health institutions in case of referral and drop-back home
  • 24. 24